LONG ISLAND COLLEGE HOSPITAL (NPI# 1205844768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205844768 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND COLLEGE HOSPITAL |
| Other Organization Name | LICH PLASTIC AND RECONSTRUCTION |
| Practice Address |
185 Montague Street Brooklyn NY 11201 |
| Mailing Address |
160 Water Street 20fl New York NY 10038 |
| Practice Telephone | 2122563682 |
| Mailing Telephone | 2122563682 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2009-11-05 |
| Authorized Official Name | DEBORAH HACKETT (MANAGING EMPLOYEE) |
| Authorized Official Telephone | 2122563421 |
| Authorized Official Credential | VP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LICH PLASTIC AND RECONSTRUCTION | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811229206 | Long Island College Hospital | Psychiatric Unit | 444 E 57th St, New York, NY 10022-3522 | 2010-02-10 |
| 1881809390 | Long Island College Hospital | Clinic/Center | 8701 Shore Rd Apt 223, Brooklyn, NY 11209-4246 | 2007-05-10 |
| 1841581659 | Long Island College Hospital | General Acute Care Hospital | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-04-27 |
| 1336463470 | Long Island College Hospital | General Acute Care Hospital | 339 Hicks St, Brooklyn, NY 11201-5509 | 2010-03-18 |
| 1306071865 | Long Island College Hospital | Psychiatry & Neurology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2009-05-27 |
| 1710122627 | Long Island College Hospital | Psychiatric Unit | 339 Hicks St, Brooklyn, NY 11201-5509 | 2008-12-05 |
| 1427293331 | Long Island College Hospital | Rehabilitation Unit | 339 Hicks St, Brooklyn, NY 11201-5509 | 2008-12-05 |
| 1386803369 | Long Island College Hospital | General Acute Care Hospital | 339 Hicks Street, Brooklyn, NY 11201 | 2008-06-05 |
| 1952569071 | Long Island College Hospital | General Acute Care Hospital | 339 Hicks St, Brooklyn, NY 11201-5509 | 2008-05-27 |
| 1114119765 | Long Island College Hospital | General Acute Care Hospital | 97 Amity St, Brooklyn, NY 11201-6004 | 2007-08-16 |
| Street Address |
185 MONTAGUE STREET |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487662870 | Robert Steven Goldberger | Dentist | 185 Montague Street, 9th Floor, Brooklyn, NY 11201 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871793992 | New York Otolaryngology & Aesthetic Surgery PC | Otolaryngology | 1783 W 6th St, Brooklyn, NY 11223-1321 | 2007-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328874 | Conall Fitzgerald | Otolaryngology | 1275 York Ave Dept Head, New York, NY 10065-6007 | 2020-08-31 |
| 1609484492 | Manhattan Facial Plastic Surgery and Ear Nose & Throat Professional Co | Otolaryngology | 400 East 20th Street Ste 3f, New York, NY 10009 | 2020-07-17 |
| 1154838977 | Manhattan Canal Medical, P.C. | Otolaryngology | 202 Canal St Ste 602, New York, NY 10013-4517 | 2018-01-02 |
| 1437538881 | Jacob Ibrook Tower | Otolaryngology | 130 East 77th Street Black Hall Building 10th Floor, New York, NY 10075 | 2015-05-19 |
| 1982808614 | Rebecca E Fraioli | Otolaryngology | 3400 Bainbridge Ave, Map 3, Montefiore Medical Center, Dept of Otolaryngology - Hns, Bronx, NY 10467 | 2007-06-14 |
| 1043429483 | David O Volpi | Otolaryngology | 262 Central Park W # 1h, New York, NY 10024-3512 | 2007-05-22 |
| 1487877817 | Western New York Ear, Nose & Throat, P.C. | Otolaryngology | 3670 South Benzing, Suite C, Orchard Park, NY 14127 | 2007-04-11 |
| 1821157751 | Jennifer M Levine | Otolaryngology | 240 E 79th St, New York, NY 10075-1257 | 2006-12-06 |
| 1104913185 | William Marshall Portnoy | Otolaryngology | 160 W 18th St, Ground Floor, New York, NY 10011-5403 | 2006-10-09 |
| 1609821297 | Boris Chernobilsky | Otolaryngology | 240 E 38th St Fl 14, New York, NY 10016 | 2006-05-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.